Individual
DR. TANIA MIMI ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1818 DAVIE AVE, STATESVILLE, NC 28677
(704) 873-1036
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011007275
MO
207R00000X
Internal Medicine Physician
Primary
2015-00788
NC
208M00000X
Hospitalist Physician
2011007275
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386825131
—
IL
05
—
1386825131
—
MO
Enumeration date
11/21/2007
Last updated
09/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us